HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
9-ro Lum __
la C MG �y.__:; Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9 2 Z
Property Tax ID #: �, O _ 000 - L
Lot No.—] L_
Site Plan Name: Block No.
Project Name: L!
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
_ Gas Piping
Cost of Construction: $ S 1 1 6•-2�_ 0
Sprinklers
— Shutters Windows/Doors
Generator _ _ Roof
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Pond
Pitch
OWN ER/LESSEE:
CONTRACTOR:
Name P f'
Name_ L,) (`--i
Company: C-D K
`T D
Address: ZZ &
City: Pas i- fi [- State: R
Address:3Z� -
_SC ,� a i • `f G; T�rI
Zip Code.3 q �L Fax:
City: 5 fz.)
State: �L
Phone No J'7 ' 9 7 / ^ 113
Zip Code: 3 "7 Fax:
E-Mail:
Phone No
$i - 2 10 f
Fill in fee simple Title Holder on next page 1 if different
E-mail I Avo
ar J ; d l . L,D P 1
State or County License S L. L 2- S jf 6 3
from the Owner listed above)
C. Cam-
v
it value ar construction is 2500 or more, a RECORDED Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
y v --wil i F%mu r am ►+rriuvi i : Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that ntoywork or installation has commenced prior to the issuance of a permit.
which is in conflict with any applicable iHo eat is OwnersAssociation
irules,authorize
by bylaws or and covenanthols that maydrestr subject
proh bit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recoLd:in&your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ &&'ad & gCOUNTY OF
Swor o (or affirmed) and subscribed before me of Sworn for affirmed) and subscribed before me of
Physical Prese ce or Online Notarization Physical Presence or Online Notarization
this day of 2026 by this _j) day of 202; by
%rJ-Ti" .. C _." r -i-; 3 T=2 c_L")
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced ldentifrcation/"�
Type of IdentificatJon, Type of Identificatio
Produced _ J, Produced
(signature of Nolgry PLIPM
gnature of Notary Pu ic-
StaJOSEPH t
JGSEP>1BAr11NI�rCOMMISSION
EiAD
Commission No.
%XPMISSION # Gu 274212mission No.
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I ES: November 25, 2422ea
p iR>r3: November
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